jian pi wan

Name: jian pi wan
Creator: Bencao Index

Strenghten the Spleen Pill

About jian pi wan

Jian Pi Wan, Strengthen the Spleen Pill, is Bai Zhu, Fu Ling, Ren Shen, Shan Yao, Rou Dou Kou, Shan Zha, Shen Qu, Mai Ya, Mu Xiang, Chen Pi, Sha Ren, wine-fried Huang Lian and Gan Cao. The catalogue classes it among the formulas that reduce food stagnation.

Ingredients

Herb	Amount
bai zhu	7.5 g
fu ling	6 g
ren shen	4.5 g
shan yao	3 g
rou dou kou	3 g
shan zha	3 g
shen qu	3 g
mai ya	3 g
mu xiang	2.25 g
chen pi	3 g
sha ren	3 g
jiu chao huang lian	2.25 g
gan cao	2.25 g

Actions and indications

Strengthens the Spleen and harmonizes the Stomach

Qi deficiency of the Spleen and Stomach with Food stagnation and Damp
Sallow face, little desire to eat, and a tired body without strength
In children: poor appetite, slow growth and loose stools from weak digestion
Tongue normal with a slightly yellow, greasy coat; pulse deficient and frail

Reduces Food stagnation

Food is hard to digest; the abdomen and epigastrium feel bloated or full, often worse after meals
Belching or a sour taste; undigested food in the stools

Stops diarrhea

Loose stools or watery diarrhea, often chronic

Modern uses

Chronic gastritis
Chronic colitis
Chronic enteritis
Chronic pancreatitis
Diarrhea, including chronic or functional diarrhea
Functional dyspepsia
Indigestion
Poor appetite
Slow recovery of digestion in children
Celiac disease
Duodenal ulcer
Cirrhosis of the liver
Fetal restlessness

Symptoms

Abdominal distention
Belching
Developmental delay
Diarrhea
Epigastric distention
Fatigue
Indigestion
Loose stools
Poor appetite
Sallow complexion
Undigested food in stools

Modifications

No signs of Heat: − jiu chao huang lian
Cold signs: + gan jiang, − jiu chao huang lian
Nausea and vomiting: + zhi ban xia, + sheng jiang
No diarrhea: + zhi ban xia, − rou dou kou
Alternative to the entry above: + zhi ban xia, + ding xiang
Early-morning diarrhea with signs of Food stagnation (combined with Fu Zi Li Zhong Wan)
Diarrhea as the chief complaint: + bai bian dou, + yi yi ren, + ze xie
Heavy Damp accumulation: + che qian zi, + ze xie
Damp stagnation: + zhi shi, − gan cao
Malnutrition in children: + bing lang, − gan cao, − rou dou kou

Cautions

contraindication Acute Food stagnation that is purely excess, as from overeating or spoiled or contaminated food, with no underlying weakness of the Spleen and Stomach
contraindication Damp-Heat diarrhea or dysentery with tenesmus: its astringent herb Rou Dou Kou can lock the pathogen in
pregnancy Use in pregnancy only under professional guidance, as it contains cold Huang Lian and aromatic Qi-moving herbs (Mu Xiang, Sha Ren)

Preparation

Ground to a fine powder and made into water pills, taken with warm water; also given as a decoction when the herbs need adjusting case by case

Names

Pinyin	jian pi wan
English Name	Strenghten the Spleen Pill

Classification

Category: Formulas that Reduce Food Stagnation

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